| NPI | 1861995680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: MO 01715) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: KS 1033) |
| Enumeration Date | 2018-03-18 |
| Last Update Date | 2018-03-18 |